Organization Active NPI

Craig County Hospital Authority

  • Home Health Agency
  • Vinita, OK
National Provider Identifier
1295778231
Registry record updated Jun 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
7139 Issued in OK
Legal business name
CRAIG COUNTY HOSPITAL AUTHORITY
Doing business as
Craig General Hospital
Practice address
735 N Foreman St
Vinita, OK 74301-1422
Phone
(918) 256-7551
Fax
(918) 256-7395
NPI assigned
Jun 14, 2006
Organization subpart
Yes
Parent organization
CRAIG COUNTY HOSPITAL AUTHORITYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Rex Walk, FACHE
Title
Chief Executive Officer
Phone
(918) 256-7551

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 7139 OK Primary

Addresses

Primary practice location

735 N Foreman St
Vinita, OK 74301-1422

Mailing address

PO Box 326
Vinita, OK 74301-0326
Phone (918) 256-7551

Other identifiers 1

IdentifierTypeStateIssuer
100261400AMedicaidOK

Other names 1

  • Craig General Hospital Doing business as

National Provider Directory

National Provider Directory
Part of
Craig County Hospital Authority

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307923200000",
    "number": "1295778231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 326",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743010326",
            "telephone_number": "918-256-7551",
            "fax_number": "918-256-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "735 N FOREMAN ST",
            "city": "VINITA",
            "state": "OK",
            "postal_code": "743011422",
            "telephone_number": "918-256-7551",
            "fax_number": "918-256-7395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CRAIG COUNTY HOSPITAL AUTHORITY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CRAIG COUNTY HOSPITAL AUTHORITY",
        "enumeration_date": "2006-06-14",
        "last_updated": "2011-06-13",
        "status": "A",
        "authorized_official_last_name": "WALK",
        "authorized_official_first_name": "REX",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "918-256-7551",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "OK",
            "license": "7139",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100261400A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Craig General Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Vinita, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.